CMS Formulary

Displaying 183191-183200 of 1611142 results.
ID: 183191
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183192
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183193
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183194
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744009
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183195
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183196
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183197
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183198
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183199
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197854
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 183200
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2393593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30